02 Counterclaim by vSTnB6

VIEWS: 8 PAGES: 4

									                                                                           This is a tier ____ case.
My Name


Address


City, State, Zip


Phone


Email


I am the           Defendant/Respondent
                   Attorney for the Defendant/Respondent and my Utah Bar number is _________


                                    In the District Court of Utah

                       __________ Judicial District ________________ County
     Court Address ______________________________________________________

                                                           Counterclaim
_____________________________________ _______________________________
Plaintiff/Petitioner                                       Case Number
                                                           _______________________________
v.                                                         Judge

_____________________________________ _______________________________
Defendant/Respondent                                       Commissioner


Instructions:
      You must complete this form before you file it. The judicial services representative cannot
       complete this form for you. Use the Checklist to help you understand and complete this form.
      Keep a copy of all documents for your records.
      Attend all court hearings.
      Attach:
           Additional pages as needed to complete paragraphs that don’t have enough space. Write the
            paragraph number on the additional page.
           Any documents referred to in this document.




Counterclaim                                  Approved Board of District Court Judges April 17, 2009   Page 1 of 4
                                                                             Revised March 1, 2012
          Non-Public Information Form, more fully describing any non-public information referred to in
           this document.

         By and through my attorney, (Attorney, check here if you are appearing for your client.)

I say as follows: (Explain any claim for damages or other relief that you have against the
         plaintiff/petitioner.)

(1)




(2)




(3)




(4)




Counterclaim                                   Approved Board of District Court Judges April 17, 2009   Page 2 of 4
                                                                              Revised March 1, 2012
                                               Request
[Explain what you want the court to do based on your claims. Be specific. For example, “I want the court
to award damages of $_______________.]

(5)




(6)




(7)            I also ask for such other relief as the court finds equitable and just.

I have not included any non-public information in this document.
I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true.

                                            Sign here ►
Date
                                  Typed or Printed Name




Counterclaim                                   Approved Board of District Court Judges April 17, 2009   Page 3 of 4
                                                                              Revised March 1, 2012
                                           Certificate of Service
I certify that I served a copy of this Counterclaim on the following people.
                                                                                      Served at this           Served on
       Person’s Name                     Method of Service                              Address                this Date
                               Mail
                               Hand Delivery
                               Fax (Person agreed to service by fax.)
                               Email (Person agreed to service by email.)
                               Left at business (With person in charge
                               or in receptacle for deliveries.)
                               Left at home (With person of suitable age
(Other Party or Attorney)      and discretion residing there.)
                               Mail
                               Hand Delivery
(Clerk of Court)               Electronic File
                               Mail
                               Hand Delivery
                               Fax (Person agreed to service by fax.)
                               Email (Person agreed to service by email.)
                               Left at business (With person in charge
                               or in receptacle for deliveries.)
                               Left at home (With person of suitable age
                               and discretion residing there.)
                               Mail
                               Hand Delivery
                               Fax (Person agreed to service by fax.)
                               Email (Person agreed to service by email.)
                               Left at business (With person in charge
                               or in receptacle for deliveries.)
                               Left at home (With person of suitable age
                               and discretion residing there.)


                                                 Sign here ►
Date
                                   Typed or Printed Name




Counterclaim                                          Approved Board of District Court Judges April 17, 2009    Page 4 of 4
                                                                                     Revised March 1, 2012

								
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